Can I pay COBRA premiums with HSA?

Asked by: Jayde Parisian  |  Last update: December 5, 2023
Score: 4.2/5 (5 votes)

Yes, COBRA continuation coverage premiums can be paid from your HSA. In addition, if you are unemployed and receive unemployment compensation, you can purchase other healthcare insurance with your HSA. You cannot pay COBRA premiums with a Flexible Spending Account (FSA).

Can I use my HSA to pay my insurance bill?

HSAs cannot pay for health insurance premiums unless they fall under a special exception. Your HSA can cover qualified premiums, including Medicare, COBRA, and long-term care insurance, though.

Is COBRA an HSA?

After a qualifying event, the COBRA administrator will use provided plan information to determine the premium and eligible benefit amount of each coverage type. While a Health Savings Account (HSA) is not technically covered by COBRA, funds in the HSA are owned and may be used by the individual.

Can HSA pay long-term care premiums?

Since long-term care insurance premiums are considered a medical expense, you can use your HSA to pay your premiums. You can even use an HRA or MSA to fund your premiums, but not an FSA.

Are COBRA premiums tax deductible?

You can deduct the cost of COBRA health insurance on your federal income taxes. But as with most types of health insurance, COBRA premiums are considered a medical expense and can only be deducted if you itemize your deductions and your medical expenses are greater than 7.5% of your AGI for the taxable year.

Everything you Need to Know about COBRA Insurance

20 related questions found

How do deductibles work with COBRA?

COBRA coverage is an extension of the same coverage held during active employment. If you already satisfied your deductible during the current plan year, you will not have to do so again during the current plan year while on COBRA.

Are lump sum COBRA payments taxable?

If the employer deducts the premiums from the severance pay and pays the insurer directly, the funds are excluded from wages and are nontaxable. If the employee receives the funds and can provide supporting documentation of the payment to the insurer, the funds are also nontaxable.

Can I use my HSA to pay medical bills from last year?

Can I use my tax-free HSA savings to pay for — or reimburse myself for — IRS-qualified medical expenses from a previous year? Yes, as long as the IRS-qualified medical expenses were incurred after your HSA was established, you can pay them or reimburse yourself with HSA funds at any time.

Can you use your HSA as a retirement account?

In addition to using an HSA for medical expenses, it can also be used as another way to save for retirement. Once you reach age 65, money held in an HSA can be withdrawn and used for any reason, the only catch being that you'll pay ordinary income taxes on withdrawals not used for qualified medical expenses.

Can you use your HSA if you are not billing insurance?

Your HSA funds can be used to pay for your qualified medical expenses as well as those of your spouse and other tax dependents. This is true, even if the dependent is not covered under your health plan.

Can I pay COBRA with FSA?

In general, employers must offer COBRA coverage under a health FSA, unless an exception applies. In most cases, the COBRA coverage may be limited to the plan year in which the qualifying event occurs. Unspent health FSA funds that carry over are included in COBRA coverage but not in the COBRA premium.

Does COBRA cost more than regular insurance?

You should expect COBRA insurance costs to be substantially higher than what you paid as an employee because your employer is no longer required to pay a share. In 2022, employees paid an average of $111 per month for an individual plan and $509 per month for a family plan, according to KFF.

Can I use my HRA to pay for COBRA premiums?

Does COBRA Apply to HRAs? An HRA is just like any other group health plan. Therefore, it is subject to COBRA. Of course, if the employer is otherwise excepted from COBRA (for example, as an employer with fewer than 20 employees), then COBRA will not apply to the HRA.

What bills can I pay with my HSA account?

You can use HSA funds to pay for deductibles, copayments, coinsurance, and other qualified medical expenses. Withdrawals to pay eligible medical expenses are tax-free. Unspent HSA funds roll over from year to year, allowing you to build tax-free savings to pay for medical care later.

What can I pay with my HSA card?

HSA - You can use your HSA to pay for eligible health care, dental, and vision expenses for yourself, your spouse, or eligible dependents (children, siblings, parents, and others who are considered an exemption under Section 152 of the tax code).

Can I use my HSA for massage?

Massages with a doctor's note of necessity

In certain cases, the massage is deemed medically necessary, and can be classified as a qualified medical expense. In a case like this, accountholders can use their HSA to pay for the massage.

Should you max out your HSA?

Maxing out your HSA each year easily allows your funds to grow over time. Unlike regular savings accounts, an HSA allows you to invest funds in stocks, bonds, and mutual funds.

What happens to an HSA at age 65?

At age 65, you can take penalty-free distributions from the HSA for any reason. However, in order to be both tax-free and penalty-free the distribution must be for a qualified medical expense. Withdrawals made for other purposes will be subject to ordinary income taxes.

How much money should I have in my HSA when I retire?

The Bottom Line. According to the Fidelity Retiree Health Care Cost Estimate, couples who retired at age 65 in 2021 could need roughly $300,000 in savings (after tax) to pay for healthcare expenses in their golden years. Contributing to an HSA can help you plan and save for these expenses.

Can I transfer money from HSA to bank account?

Online Transfers – On HSA Bank's member website, you can reimburse yourself for out-of-pocket expenses by making a one-time or reoccurring online transfer from your HSA to your personal checking or savings account.

How do I pay my COBRA premium?

The three ways to pay COBRA premiums are through ACH (linked to your bank account), credit/debit card or check. We recommend paying by ACH.

What happens if you don't pay COBRA?

COBRA allows a 30-day grace period. If your premium payment is not received within the 30-day grace period, your coverage will automatically be terminated without advance warning. You will receive a termination letter at that time to notify you of a lapse in your coverage due to non-payment of premiums.

Are COBRA payments reported on w2?

When you're ready to report, the value of employer-sponsored health coverage is to be reported in Box 12 of the W-2, using the code “DD.” What are the COBRA guidelines? You are not required to report the value of coverage provided for a COBRA participant.

How do I avoid paying COBRA?

If you want to avoid paying the COBRA cost, go with a short-term plan if you're waiting for approval on another health plan. Choose a Marketplace or independent plan for broader coverage. Choose a high-deductible plan to keep your costs low.

Does COBRA take effect immediately?

How long does it take for COBRA to kick in? With all paperwork properly submitted, your COBRA coverage should begin on the first day of your qualifying event (for example, the first day you are no longer with your employer), ensuring no gaps in your coverage.